NPI | 1396099628 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013204) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401013204) |
Enumeration Date | 2012-11-08 |
Last Update Date | 2023-06-12 |